Transcript Asian Bodywork 3 Class 1

Asian Bodywork III
Class 1
Timur Lokshin LMT, CPT, LAc.
Diagnostic Methods
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Observation
Hearing and Smelling
Interrogation
Palpation
Observation
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Shen or Spirit (with or without)
Body Type (associated with element)
Color (red, pale, yellow, green, blue)
Eye (dull, red, yellow, swelling, grey)
Nose (tip, discharge, flaring)
Ears (color, size, swelling)
Mouth & Lips (color, sores, breathing pattern)
Teeth & Gums (color, swelling, moisture)
Throat (color, sores, swelling, moisture)
Limbs (swelling, edema, flaccidity, tremor)
Skin (dry, papules, color, itchy)
Imbalances (right to left, top to bottom)
Tongue…
Tongue Diagnosis
Tongue Body Diagnosis
• Color
• Pale: Deficiency: Cold or Qi
and Blood
• Red: Heat: interior excess or
deficiency
• Deep Red: Extreme Heat
• Purple: Blood Stasis: Cold,
Heat, Blood
• Shape
• Swollen: Excess or Deficiency:
Sp or Kd Yang, Heat, Toxicity
• Thin: Deficiency: Qi, Blood, Yin
• Cracked: Excess or Deficiency:
Heat, Blood
• Flaccid: Deficiency: Extreme qi
and blood, Yin collapse
Tongue Coating Diagnosis
• Quality
• Thickness: Severity, Progression
• Moisture: Fluids: Deficiency, Excess,
Harmful Water and Damp
• Sticky: Retention of Damp, Phlegm,
Food
• Peeled: Partial or Entire: St Qi and
Yin
• Color
• White: Interior or Exterior Cold
• Yellow: Interior heat, deeper yellow
more severe
• Grey: Prolonged or Retention of
Heat or Cold
• Black: Extreme Heat, Excess Cold
with Yang Deficiency, Usually
progression of Yellow or Grey
Tongue Diagnosis Cont.
Hearing and Smelling
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Voice
Breathing
Coughing
Belching, Hiccup, Borborygmus
Odors
Interrogation (10 Questions)
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Hot or Cold (interior or exterior)
Sweating (body area, difficulty, time of day)
Head and Body (pains, aches, difficulty, temperature)
Chest and Abdomen (pain, aches, breathing, sensations)
Ears and Eyes (tinnitus, pain, moisture)
Food and Drink (cravings, eating habits, fullness, thirst)
Sleep (difficulty, manifestation)
Bowel Movement and Urine (frequency, color, difficulty)
Gynecology and Libido (menstruation, leukorrhea , pregnancy, child birth)
History (Pediatric)
Interrogation Cont.
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Pain (quality, location, sensation)
Emotional (depression, anxiety, worry)
Energy Level (chronic tired, bouts of tiredness)
Sexual Symptoms (ask with Gynecology)
Palpation
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Abdomen (tightness, tenderness)
Skin, Limbs, Chest (tightness, tenderness)
Channels and Points (tightness, tenderness)
Pulse…
Pulse Theory
Tui-Na
Soft Tissue Techniques
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Pressing
Squeezing
Kneading
Rubbing
Stroking
Vibration
Thumb rocking
Plucking
Rolling
Percussion
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Joint Manipulation Techniques
Shaking
Extension and Flexion
Rotation
Pushing and Pulling
Stretching
Pressing
• Pressing is basic to all Tui Na techniques. Using the palm, the heel of
hand, the elbow, the thumb, and even the foot, a skilled therapist will
apply precisely the right amount of pressure to the area being treated.
When using heavier pressure, communicate with your patient.
• Benefits
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Stimulates the sense organs in the skin
Aids qi flow through underlying tissues
Stimulates the flow of lymph
Pressing with the thumb or elbow has acupuncture like effects on specific
points
• Relieves pain
Squeezing
• The “Na” is Tui Na is translated from the Chinese as squeezing, pinching,
grasping, pulling or grabbing. In a squeeze the tissues are held in a way that
subjects them to pressures from opposite directions. Every squeeze pulls or lifts
up to some extent the area being massaged. As for all techniques involving deep
pressure, you should begin gently and increase gradually.
• Benefits
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Stimulates the flow of lymph
Stimulates blood flow
Strongly affects qi flow
Helps looses adjacent muscles
Affects the connective tissue sheath around muscles
Kneading
• Kneading involves pressing with movement. Unlike rubbing, your hand or elbow
must not slide your patients skin. The kneading movement may be to and from
or circular. Limited only by the looseness of the skin. A skilled therapist can
create a range of different pressures delivered with subtle nuances of direction
and force. The Chinese use the fleshy heel of the thumb when kneading the face.
Kneading can produce very gentle, relaxing pressure, or very deep stimulation.
The massage effects results from the skin moving with pressure over underlying
tissue.
• Benefits
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Relieves tensionAssists the flow of blood
Stimulates the drainage of lymph to help flush away toxins
Assists relaxation
Creates favorable conditions in the tissues for the diffusion and balance of qi
Rubbing
• The Chinese describe rubbing technique as pushing, scrubbing,
chafing, pressing and dragging. Rubbing involves movement over
the skin surface, creating friction which generates heat. It can vary
from very gentle to and from movement to a vigorous scrubbing.
Ru being can be in a line or a circle, and involves larger sized
movements and those used in kneading.
• Benefits
• Generates warmth, stimulates circulation
• Promotes flow of qi in the surface tissue
Stroking
• This is a long rub in one direction, more like a surface push that
conventional stroking. It is the “Tui” part of the Tui Na. The hands
follow the course of Meridians with a strong feeling for the energy
being moved. The stroking action is usually away from the centre of
the body.
• Benefits
• Moves qi through surface tissues
• Stimulates the flow of lymph
• Induces a feeling of relaxation
Vibration and Thumb Rocking
Vibration
Thumb Rocking
• For this technique the hand
quivers, sending vibration into
the tissue.
• This technique applies
penetrating thumb pressure to
acupuncture point.
• Benefits:
• Benefits
• Stimulation of surface tissue
• Produces acupuncture like effects
on qi balance
Plucking and Rolling
Plucking
• This technique is a shearing action,
using very deep, controlled
sideways movement across muscles
or muscle groups.
Rolling
• Rolling is a fairly modern technique,
only introduced this century, but it
is very effective and important in
Tui Na.
• Benefits
• Benefits
• Relaxes the muscles
• Promotes qi flow
• Eases chronic pain
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Increase flow of qi
Stretches muscles and tendons
Aids relaxation
Helps to balance qi
Percussion
• These percussive techniques apply pressure for a very short time, the
amount of pressure depends on the force used and the area over which it
is applied. Percussion is mostly used to apply penetrating pressure to areas
of the body with thick layers of muscles, such as buttocks, lumbar region,
and the trapezius muscles across the shoulders.
• Benefits
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Aids muscles relaxation
Loosens ligaments and cartilage
Stimulates blood and lymph circulation
Enhances the flow of qi
Joint Manipulation Techniques
Shaking
• The shake is used to treat the arms and legs. First loosen the
muscles with a full soft t issue massage of the limbs. Shake only on
arm at the time, legs can be shaken together.
• Benefits
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Extends the muscles surrounding the joint
Stimulates the flow of blood in the joint region
Improves the distribution of qi in the tissues
Removes qi blockages
Tones major muscles
Extension and Flexion
• These techniques are used on hinge joints.
• Benefits
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Aids joint mobility
Tendon stretches induce muscle relaxation
Improves joint function
Increases blood circulation in the joint tissues
Relieves pain
Rotation
• This technique is for the shoulders, hip joints, ankles and wrists. Do not
attempt to rotate the neck, as it is easy to cause damage. The shoulder
joint rotate almost in a full circle, but it's mobility varies enormously from
one person to another. Even strong, healthy sportspeople may have
severely restricted movement in the shoulders and hips.
 Always massage the soft tissue in the area before attempting a rotation, to
aid the flow of blood and qi and release muscle tension.
• Benefits
• Aids mobility of the joints
• Relieves pain in the joints
• Frequent, gentle rotation benefits even severe arthritis
Pushing and Pulling
• These manipulations create two equal forces working in opposite
direction: one “pulling” at a place on the body distant from the
“pushing”. The techniques flex and twist the joints to a greater
degree than normal, improving their mobility. Carefully control the
amount of force you use, feel for any resistance.
• Benefits
• Releases tension in muscled areas
• Increases mobility of joints
• Enhances body flexibility
Stretching
• These are spinal stretches which ease back strain relieve the
pressure on damaged intervertebral discs. Even those who
have no back problems find these trenches very soothing and
relaxing.
• Benefits
• Relieves strain and spasm
• Relieves associated chronic pain